Referral Coordinator (UGSC)

Sante Health•Fresno, CA

8d•$18 - $22•Onsite

About The Position

Sante Health System is ready to add a full-time Referral Coordinator to one of our busy medical sites UroGynecology Specialty Center Recreation Office in the Fresno, CA area. This position is responsible for coordinating and scheduling specialist appointments for our patients, including obtaining any necessary prior authorizations. Each day as a Referral Coordinator is a great opportunity to utilize your customer service and organizational skills to ensure that our patients receive the care they need. Keeping your eye out for incoming referrals on our EMR systems, you are able to quickly contact patients about scheduling appointments with specialists, procedures, radiology exams, appointments for nutritional consults, and psychological consults. In addition to talking with our patients over the phone, you also contact their insurance companies to obtain patient benefit information and any required pre-authorizations. Our specialists depend on you not only for efficient scheduling but also to arrange for the appropriate information to be sent before the patient's scheduled appointment. You also notify hospitals of any direct admits. With great attention to detail, you keep all patient and referral records organized and up-to-date. You enjoy the variety in your job and the opportunity to provide excellent customer service. You feel accomplished knowing that you have helped our patients.

Requirements

High school diploma/GED equivalent required.
Minimum one year work experience, preferably in a medical office setting.
Word processing and computer experience required.
Candidates should have exceptional people and communication skills, be highly skilled in multi-tasking in a fast paced environment, a commitment to achieving a high level of accuracy and attention to detail, and a no-task-too-small approach to the work.
Knowledge of business office procedures.
Knowledge of managed care products such as HMOs, PPOs, EPOs and government run medical programs.
Knowledge of grammar, spelling and punctuation to type patient information.
Working knowledge of workers' compensation.
Skill in operating a computer and fax machine.
Skill in greeting patients and answering the telephone in a pleasant and helpful manner.
Ability to speak clearly and concisely.
Ability to read, understand and follow oral and written instructions.
Ability to establish and maintain effective working relationships with patients, employees, other physician offices and insurance companies.

Nice To Haves

Experience with medical terminology and various insurance products and requirements desirable.

Responsibilities

Schedules patient appointments with specialists, or faxes referral information to the specialist's office so that they may schedule the appointment.
Arranges for all appropriate information to be sent to the specialist prior to the patient's scheduled appointment date and time.
Contacts patient with the appointment time, place, etc.
Contacts patients' insurance company to obtain benefit information and any required prior authorizations.
Answers all telephone calls in a timely manner regarding referral follow ups.
Maintains up-to-date specialist list for HMO patients.
Records all referral information in patient's chart under insurance information.
Provides general information on insurance policies and procedures.
Enters information in the computer regarding patient, insurance, specialist, specialty, number of visits and consult letters received.
Remains current on insurance benefit changes.
Maintains patient confidentiality.
Attends required meetings and participates in committees as requested.
In the spirit of teamwork, employees are expected to follow any other job-related instructions and to perform any other job-related duties as requested.
Keeping your eye out for incoming referrals on our EMR systems, you are able to quickly contact patients about scheduling appointments with specialists, procedures, radiology exams, appointments for nutritional consults, and psychological consults.
You also contact their insurance companies to obtain patient benefit information and any required pre-authorizations.
You also notify hospitals of any direct admits.
With great attention to detail, you keep all patient and referral records organized and up-to-date.